Active NPI
Kevin Shahbazian, DO
- Diagnostic Radiology Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 98888
- Practice address
- 1120 15TH St # Bi5070
Augusta, GA 30912-0004 - Phone
- (706) 721-2423
- NPI assigned
- Apr 13, 2019
- Last updated
- Feb 28, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10802 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | 10802 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | 98888 | GA | Primary |
Addresses
Primary practice location
1120 15TH St # Bi5070
Augusta, GA 30912-0004
Mailing address
1120 15TH St # Ba1404
Augusta, GA 30912-0004
Phone (813) 598-5501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10802 | GA | MD | Diagnostic Radiology Physician |
| 98888 | GA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Internal Medicine | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| August University - Medical College of Georgia | Internal Medicine | Past | Accepting new patients |
| Ochsner Clinic LLC | Past | Accepting new patients |
Locations
10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239
180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284
3417 Williams Blvd
Kenner, LA 70065
Phone (504) 461-9660
1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3740
2215 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 838-3524
4430 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 433-7203
1514 Jefferson Hwy
New Orleans, LA 70121
2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200
Interoperability endpoints
- kshahbazian2460636@direct.ochsner.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Cardiovascular Disease Physician
- Lafayette, LA
- NPI 1649408832
-
dba Diabetes Prevention Program
- Registered Dietitian
- Covington, LA
- NPI 1013747039
Internal Medicine
-
dba Ochsner Health Center - OB/GYN Westbank
- General Practice Physician
- Gretna, LA
- NPI 1215171723
-
- Internal Medicine Physician
- Augusta, GA
- NPI 1730865619
-
dba Ochsner Urgent Care - Westbank
- General Practice Physician
- Marrero, LA
- NPI 1811436777
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Charles Parish Hospital
- General Acute Care Hospital
- Luling, LA
- NPI 1295716637
-
dba Ochsner Medical Center Acute
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Kenner, LA
- NPI 1710097936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1194288373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 15TH ST # BA1404",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120004",
"telephone_number": "813-598-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 15TH ST # BI5070",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120004",
"telephone_number": "706-721-2423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHBAZIAN",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-13",
"last_updated": "2024-02-28",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "10802",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "10802",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "98888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.